HomeMy WebLinkAboutXR2025-0262 - Permit ApplicationPrint Form Worksheet for Combo Building & Solar Permit Application
( Comm'I ✓Residential City of Newport Beach - Building Division
NOTE: PLAN CHECK FEES DUE AT TIME OF SUBMITTAL
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Description of Work
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OWNER'S NAME
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Owner's Address
Owner's E-mail Address
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APPLICANT'S NAME Last ��-I(k( rC) First
Applicant's Address Applicant's E-mail Address
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ARCHITECT/DESIGNER'S NAME First i Lic. No.
Last � �� )���(,�.
Architect/Designees Address Architect/Designer's E-mail Address
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State F_ Zip [_ Telephoned
ENGINEER'S NAME Last First Lic. No.
Engineer's Address Engineer's E-mail Address
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CONTRACTOR'S NAME/COMPANY
Contractors Address
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Contractor's E-mail Address
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SETBACKS REAR SETBACKS FRONT
SETBACKS LEFT SETBACKS RIGHT
PERMIT NO. ft*2621-62,
PLAN CHECK NO.
USE ZONE DEVELOPMENT NO PLAN CHECK FEES S